Alisa R Bivens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC145558 Issued in ME

Practice address

1501 Alexandria Pike Ste 102
Fort Thomas, KY 41075-2561

Phone

(207) 400-7758

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alisa B Longo Former name

Medicare fee-for-service enrollment

Enrolled in ME, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1104193929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ALEXANDRIA PIKE STE 102",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752561",
            "telephone_number": "207-400-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ALEXANDRIA PIKE STE 102",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752561",
            "telephone_number": "207-400-7758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Back Cove Est",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041034600",
            "country_code": "US",
            "telephone_number": "207-400-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIVENS",
        "first_name": "ALISA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC145558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "LONGO",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beacon Orthopaedics & Sports Medicine, LTD
• John Michael Becker, D.M.D.
• Annie F Bennett, LISW-S
• Deborah Ann Benton, B.S., L.M.T.
• Alexandra Bessler
• William Robert Blevins, DMD
• Ted William Borman, LCSW
• Laura Hamm Bowman, LAURA BOWMAN
• Lauren Bradbury, R.N.
• Maria Lynn Brooks, RN BSN

• Clinical Social Worker in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.